Individual
DR. THOMAS ELMER PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
29 HARGROVE DRIVE, STONY BROOK, NY 11790-2328
(631) 513-8104
Mailing address
29 HARGROVE DRIVE, STONY BROOK, NY 11790-2328
(631) 513-8104
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
012040
NY
103T00000X
Psychologist
012040
NY
103TC0700X
Clinical Psychologist
012040
NY
103TC2200X
Clinical Child & Adolescent Psychologist
012040
NY
Other
Enumeration date
08/03/2005
Last updated
04/10/2015
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